A Strategy,
Not A Program

We offer a series of courses to orient state agency staff and private sector decision-makers to new strategies for rethinking Medicaid.

We take a 360 degree view of your policies and organizations. Medicaid is fragmented. To truly improve health outcomes requires new ways to incorporate medical treatment with home and community-based services, intensive care coordination, and connections to community resources to address Social Determinants of Health.

We support the Medicaid team at all levels and at any phase of the change project. This includes drafting and reviewing waiver applications and coaching your team in negotiating with CMS and external partners.

My experience in the policy world of Medicaid began in 1982 in the U.S. Department of Health and Human Services under President Reagan. My 40 year career has been in or around Medicaid at both the federal and state levels. From 2001-2008, I served as Director of the Center for Medicaid and State Operations at the Centers for Medicare & Medicaid Services (CMS). As a congressional staff member I helped to create the CHIP program. I have ten years of public service at the state level in Arkansas, Wisconsin, Virginia, and California. I have created & negotiated innovative Section 1115 waivers and designed new initiatives including, most recently, the Arkansas PASSE program. I have taught a graduate level class on management of health care organizations for three semesters at the University of Arkansas Medical Sciences College of Public Health. Coming from a long line of educators in my family, it is a joy to pass along what I have learned.